Individual
DAVID TIMOTHY AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 SICARD ST APT 22, MARYSVILLE, CA 95901-4649
(530) 822-6547
Mailing address
1229 SICARD ST APT 22, MARYSVILLE, CA 95901-4649
(530) 822-6547
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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